| Camp Creek Dental | |
|
3650 Marketplace Blvd Suite 920 East Point GA 30344-5741 | |
| (404) 344-2323 | |
| (404) 344-8123 |
| Full Name | Camp Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3650 Marketplace Blvd, East Point, Georgia |
| Authorized Official Name and Position | Jeffrey Stephen Butts (OWNER) |
| Authorized Official Contact | 4043442323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Creek Dental 3650 Marketplace Blvd Suite 920 East Point GA 30344-5741 Ph: (404) 344-2323 | Camp Creek Dental 3650 Marketplace Blvd Suite 920 East Point GA 30344-5741 Ph: (404) 344-2323 |
| NPI Number | 1144568965 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 01/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144568965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | DN014167 (Georgia) | Primary |
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